1. With which of their follow statements would you agree - Answerso Care has become more complex
and specialized during the last 40 years
2. Which of the following should you keep in mind as your hospital redesigns the way it handles knee
replacements? - Answerso How system components are integrated with one another is as important as
how well they function independently
3. Which of the following is typically true of "weak signals"? - Answerso They can combine with other
human or environmental factors to result in catastrophe
4. The term "normalized deviance" refers to - Answerso Acceptance of events what are initially allowed
because no catastrophic harm appears to result
5. You meet with the nurse administrator responsible for improvement when issues in the process of
care are identified by those on the wards. She listens carefully to your concern, but in the end says she
can only try to help improve nursing issues, and not those that extend to pharmacy or transport. The
primary reason your meeting is unlikely to lead to an adequate solution is: - Answerso The nurse
administrator did not have the appropriate span of responsibility to engage the system components
needed to solve the problem
6. Root cause analyses can be useful in health care because - Answerso They help to identify system
failures that can be corrected
7. The surgical staff that operated on Mr. Reynolds is embarking on a root cause analysis (RCA) of the
incident. If they complete a high-quality RCA, which of the following is an example of the kind of root
cause they might identify? - Answerso The hierarchy in the operating room had a negative effect upon
communication
The team conducting the RCA of the wrong-site surgery realizes that one contributing factor was the
pressure on surgical teams to start and end surgeries on time (so as not to disrupt later scheduled
procedures). Which of Vincent's seven categories of factors influencing clinical practice does this best
illustrate? - Answerso Organizational and management factors
9. Which of the following scenarios would call for a root cause analysis? - Answerso A social worker
catches a patient who is falling out of bed
10. Which is an important approach when conducting as RCA? - Answerso Use categories to organize
events that led to errors
11. Quinn is a three-year-old boy with a congenital heart malformation. While recovering in the
pediatric intensive care unit after surgical correction, he is accidentally given a tenfold dose of heparin.
Although he suffers no permanent injuries, the leadership of the hospital rightly decides to conduct a